At the same time, their moderate counterparts desire greater tax relief for those states with higher state and local tax systems and more generous assurances for Medicaid coverage. Meanwhile, Democrats have been left on the sidelines,

The vote is a significant, but not fatal, setback to the legislation that President Donald Trump hopes will define his second term.

House Republicans unveiled a plan for Trump’s “big, beautiful bill" on tax breaks earlier this week that also includes massive cuts to Medicaid. Johnson is one of a handful of conservatives against the bill, arguing that it is a “mistake” that will only increase the deficit.